Psychiatry of the Elderly: A Consensus Statement

This document is a consensus statement on Psychiatry of the Elderly jointly produced by WHO and the Geriatric Psychiatry Section of the World Psychiatric Association, with the collaboration of several pertinent NGOs and the participation of experts from countries in several WHO regions.     

Undecidability,incompleteness and Arnol'd problems

We present some recent technical results of us on the incompleteness of classical analysis and then discuss our work on the Arnol'd decision problems for the stability of fixed points of dynamical systems.Partially supported by FAPESP and CNP_q (Brazil, Philosophy Section).     

HUSSERL'S PHENOMENOLOGY AND WEYL'S PREDICTIVISM

In this paper I discuss the version of predicative analysis put forward by Hermann Weyl in Das Kontinuum. I try to establish how much of the underlying motivation for Weyl's position may be due to his acceptance of a phenomenological philosophical perspective. More specifically, I analyze Weyl's philosophical ideas in connexion with the work of Husserl, in particular Logische Untersuchungen} and Ideen .I believe that this interpretation of Weyl can clarify the views on mathematical existence and mathematical intuition which are implicit in Das Kontinuum.     

DIVERSITY AND COMMUNALITY IN VENEZUELA AROUND THE CONCEPTS OF PROGRESS AND WORK: THEIR EFFECTS ON ORGANIZATIONS

Venezuela has experienced quite a rapid rate of change at mid century but has not been able to attain real economic development. Yet the desirability of progress is a commonly shared value, although there are important differences within the society; for example, in the ways in which work is conceived, or the degree to which the common Latin American values are ascribed. Besides, the concern with power, which is also identified as important within Venezuelan society and often gets combined with the socio-centric values into ‘political partisanship’, is a factor affecting organizational functioning, particularly in the public sector. Examples are given of unsuccessful and successful organizations, pointing out the need to take into account the commonalities and diversities in values identified within the society in the search of organizational alternatives more viable within the particular context.     

Bilingualism and brain functional asymmetry

The task of the neural organization of the native language, acquired by a direct method and of another language, studied at school, performed correspondingly by the left and the right hemispheres, was studied in the bilingual patient after unilateral electroconvulsive therapy used in psychiatry. It was established that in such a bilingual type the right hemisphere is concerned with the formation of deep semantic structures of the native language while the left hemisphere is responsible for the formation of second language deep structures and of surface structures of both languages. The effect of language learning method on cerebral organization of bilingualism is postulated.     

Psychosocial stress and coping in smokers who relapse or quit

Relapse remains a major problem in successful smoking cessation. This study evaluated selected responses and coping skills in male and female quitters and relapsers in four situational contexts: general social competence, smoking-specific "high-risk-for-relapse" situations, social anxiety, and relaxation. Results showed that quitters coped better than relapsers with intrapersonal (e.g., negative mood) smoking-specific situations. Quitters had lower heart rates than relapsers during relaxation and intrapersonal situations and had lower anxiety scores at the end of the procedures. Women showed more stress and less confidence in their ability to cope than did men. Groups did not differ in responses to the general social competence and social anxiety procedures. Results are discussed in the context of the importance of considering individual differences in responses and in coping skills for treatment and relapse prevention for smokers.     

A controlled trial of cognitive-behavioural and behavioural treatment of anorexia nervosa

This study was undertaken to investigate whether a cognitive-behavioural treatment procedure was superior to a standard behavioural treatment, in the outpatient therapy of patients with anorexia nervosa. The two treatments were also compared with a control treatment procedure consisting of routine outpatient management. Each group consisted of eight subjects. All the groups showed some improvement, but the findings did not provide support for the prediction that cognitive-behavioural treatment, designed specifically to manipulate both attitudes and behaviour, was superior to the other types of treatment. The implications of the findings are considered.     

The structure and correlates of self-reported symptoms in 11-year-old children

Self-reports of DSM-III symptomatology were obtained from 792 11-year-old children using the Diagnostic Interview Schedule for Children (DISC). We report results concerning 13 subscales derived from the DISC. Factor-analysis of the subscales suggested a broad distinction between externalizing and internalizing disorder for boys' self-report. For girls, two separate internalizing factors representing anxiety and depression emerged. We also found sex differences in correlates of self-reported disorder. Finally, we examined agreement between child and parent and teacher reports. Overall, agreement was relatively low, although somewhat higher for child-parent than for child-teacher.The Dunedin Multidisciplinary Health and Development Research Unit is supported by the Medical Research Council of New Zealand and the Departments of Education and Health, and involves several departments of the University of Otago. Much of the data are gathered by voluntary workers from the Dunedin community. The authors are indebted to the many people whose contributions make this ongoing study possible.